Exclusive - Iran and Circumventing the Sanctions

Iranian supreme leader Ali Khamenei. (AFP)
Iranian supreme leader Ali Khamenei. (AFP)
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Exclusive - Iran and Circumventing the Sanctions

Iranian supreme leader Ali Khamenei. (AFP)
Iranian supreme leader Ali Khamenei. (AFP)

The re-imposed American sanctions against Iran demand a closer examination on the extent in which they may lead to the collapse of its ruling regime or eruption of mass protests that may overthrow it.

In this regard, one can make five observations on the current available factors:

1- The losers: Recent experience has demonstrated that those most harmed from sanctions are often regular citizens. Targeted regimes quickly find means to turn the suffering of the people into tools to bolster their internal control and oppress opponents. They will find ways to distract the people with tedious procedures to go about their daily lives, such as securing food baskets and completing transactions that have been made complicated by the sanctions.

The Saddam Hussein regime in Iraq was a prime example of how to exploit sanctions that were imposed after the invasion of Kuwait. On the one hand, he used the sanctions to cow the people into submission and, on the other, waged a media propaganda war that portrayed him as the victim.

Iranian officials have likely garnered enough experience from recent sanctions experiences in 2012 and 2015 to handle the re-imposed US sanctions. The previous experiences had made the lives of Iranian citizens difficult, but presented a golden opportunity for the ruling political class to reap wealth from loopholes in the sanctions.

2- Goals: Those behind the sanctions are seeking to present insurmountable obstacles before the targeted regime to force it to alter its stances and policies and return to the negotiations table. They are also banking on mounting challenges, sparked by the sanctions, that would culminate in popular anger that would eventually overthrow the regime should it remain unyielding in its stances.

Those drafting these strategies, however, often come from countries that enjoy a rich democratic legacy and that actually listen to the people. This is not the case in semi-totalitarian regimes, such as the one in Iran. Iran’s regime is based on revolutionary and religious (Wilayet al-Faqih) teachings, not rules generated from elections and the voice of the people. It is common knowledge that the regime did not hesitate in 2009 to openly forge electoral results when the original ones went against the ruling class.

3- Internal resistance: Iranian supreme leader Ali Khamenei still has many cards up his sleeve to confront the sanctions and he will turn to them when the need arises. Just two days ago, he refused to lift the house arrest against opposition figures Mir Hossein Mousavi and Mehdi Karroubi. He also sought the failure of mediations to appease internal anger against the government. This was interpreted as a sign that Khamenei and his allies have chosen confrontation, rather than appeasement, with local rivals. This was also seen as a message to recent popular protests that the regime will not veer off its current course. The most they can expect is some short-term cures, such as replacing the central bank governor or other officials.

One must take into account that the regime still enjoys popular backing, especially among the poor in the countryside. In 2009, it succeeded in convincing them that the majority of those rejecting the electoral results were “western agents”. The regime has not hidden the fact that it is ready to lead matters towards a wider bloody confrontation if the protests became more organized and yielded a clear leadership.

4- The outside: The international community had rallied against Iraq when the sanctions were imposed against it. In stark contrast, the United States is alone today in waging its campaign against Iran. Despite the massive clout of the American economic and political machine, which will, one way or another, force western companies to accept the sanctions, major players have objected over how the US approach has encroached on their interests. So far, China, Russia and Turkey have refused to comply with the sanctions. There is no doubt that others will follow. They will seek ways to continue cooperation with Iran to achieve financial and political gains on the international scene.

This does not mean that the sanctions will not leave their mark in Iran, because they will. It means that Tehran will find someone to thrown it a lifeline.

5- Ready to pay the price: Much has been written about Iranian pragmatism and how it can withdraw at the very last minute to avoid a crushing military blow. This was demonstrated in how Iranian forces and their allies withdrew 85 kms away from Syria’s Golan Heights out of fear of an imminent Israeli strike.

Iran can use this approach in highlighting potential American losses should tensions between it and Washington escalate towards a military confrontation. Iran may have contained the tensions sparked by President Hassan Rouhani’s threat to shut the Hormuz Strait, but it pushed its forces to stage major military drills near the waterway. This was seen as a message that it was ready for a military confrontation, which would likely not sit well with an American public that has not yet recovered from the shocks of the US invasions of Afghanistan and Iraq.

Given the above, it seems necessary to avoid making conclusive judgments on the re-imposition of sanctions and instead adopt a calmer reading of the developments, despite the backdrop of heated rhetoric.



Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
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Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)

The Turkish doctor at the center of an alleged fraud scheme that led to the deaths of 10 babies told an Istanbul court Saturday that he was a “trusted” physician.

Dr. Firat Sari is one of 47 people on trial accused of transferring newborn babies to neonatal units of private hospitals, where they were allegedly kept for prolonged and sometimes unnecessary treatments in order to receive social security payments.

“Patients were referred to me because people trusted me. We did not accept patients by bribing anyone from 112,” Sari said, referring to Türkiye's emergency medical phone line.

Sari, said to be the plot’s ringleader, operated the neonatal intensive care units of several private hospitals in Istanbul. He is facing a sentence of up to 583 years in prison in a case where doctors, nurses, hospital managers and other health staff are accused of putting financial gain before newborns’ wellbeing, The AP reported.

The case, which emerged last month, has sparked public outrage and calls for greater oversight of the health care system. Authorities have since revoked the licenses and closed 10 of the 19 hospitals that were implicated in the scandal.

“I want to tell everything so that the events can be revealed,” Sari, the owner of Medisense Health Services, told the court. “I love my profession very much. I love being a doctor very much.”

Although the defendants are charged with the negligent homicide of 10 infants since January 2023, an investigative report cited by the state-run Anadolu news agency said they caused the deaths of “hundreds” of babies over a much longer time period.

Over 350 families have petitioned prosecutors or other state institutions seeking investigations into the deaths of their children, according to state media.

Prosecutors at the trial, which opened on Monday, say the defendants also falsified reports to make the babies’ condition appear more serious so as to obtain more money from the state as well as from families.

The main defendants have denied any wrongdoing, insisting they made the best possible decisions and are now facing punishment for unavoidable, unwanted outcomes.

Sari is charged with establishing an organization with the aim of committing a crime, defrauding public institutions, forgery of official documents and homicide by negligence.

During questioning by prosecutors before the trial, Sari denied accusations that the babies were not given the proper care, that the neonatal units were understaffed or that his employees were not appropriately qualified, according to a 1,400-page indictment.

“Everything is in accordance with procedures,” he told prosecutors in a statement.

The hearings at Bakirkoy courthouse, on Istanbul’s European side, have seen protests outside calling for private hospitals to be shut down and “baby killers” to be held accountable.

The case has also led to calls for the resignation of Health Minister Kemal Memisoglu, who was the Istanbul provincial health director at the time some of the deaths occurred. Ozgur Ozel, the main opposition party leader, has called for all hospitals involved to be nationalized.

In a Saturday interview with the A Haber TV channel, Memisoglu characterized the defendants as “bad apples” who had been “weeded out.”

“Our health system is one of the best health systems in the world,” he said. “This is a very exceptional, very organized criminal organization. It is a mistake to evaluate this in the health system as a whole.”

Memisoglu also denied the claim that he shut down an investigation into the claims in 2016, when he was Istanbul’s health director, calling it “a lie and slander.”

Turkish President Recep Tayyip Erdogan said this week that those responsible for the deaths would be severely punished but warned against placing all the blame on the country’s health care system.

“We will not allow our health care community to be battered because of a few rotten apples,” he said.